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Posttraumatic Stress Disorder
Posttraumatic Stress Disorder, traumatic event, intense fear, horror or helplessness, trauma-related stimuli The patient has experienced or witnessed or was confronted with an unusually traumatic event that has both of these elements: The event involved actual or threatened death or serious physical injury to the patient or to others, and The patient felt intense fear, horror or helplessness* The patient repeatedly relives the event in at least 1 of these ways: -Intrusive, distressing recollections (thoughts, images)* -Repeated, distressing dreams* -Through flashbacks, hallucinations or illusions, acts or feels as if the event were recurring (includes experiences that occur when intoxicated or awakening)* -Marked mental distress in reaction to internal or external cues that symbolize or resemble the event. -Physiological reactivity (such as rapid heart beat, elevated blood pressure) in response to these cues The patient repeatedly avoids the trauma-related stimuli and has numbing of general responsiveness (absent before the traumatic event) as shown by 3 or more of: -Tries to avoid thoughts, feelings or conversations concerned with the event -Tries to avoid activities, people or places that recall the event -Cannot recall an important feature of the event -Marked loss of interest or participation in activities important to the patient -Feels detached or isolated from other people -Restriction in ability to love or feel other strong emotions -Feels life will be brief or unfulfilled (lack of marriage, job, children) At least 2 of the following symptoms of hyperarousal were not present before the traumatic event: -Insomnia (initial or interval) -Irritability -Poor concentration -Hypervigilance -Increased startle response The above symptoms have lasted longer than one month. These symptoms cause clinically important distress or impair work, social or personal functioning. Specify whether: Acute. Symptoms have lasted less than 3 months Chronic. Symptoms have lasted 3 months or longer Specify if: With Delayed Onset. The symptoms did not appear until at least 6 months after the event. Coding note *In children, response to the traumatic event may be agitation or disorganized behavior. Young children may relive the event through repetitive play, trauma-specific reenactment or nightmares without recognizable content.
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 BipolarConnection
2001 - 2008
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